I accept the invitation to join my brothers in support of our fraternity in its mission of building better men, better lives. I hereby do pledge and agree to contribute the amount listed below to the
Century Campaign
of the Alpha Gamma Alumni Chapter of Delta Sigma Phi at Georgia Tech.

If you select yes to schedule automatic credit card payments, you will be directed to a secure form once you click submit at the end of the form.

On the secure form you must re-enter your contact information along with your pledge amount and installment schedule for credit card verification and processing purposes.

My gift will be made in the following manner:

*

If selected "Other"

Payment Start Date
*

Year
*

Gift to be made
*

In My Name as Printed Above Anonymously In Honor of In Memory of

In Honor/Memory of:

Payment Method
*

Check Stock (publicly traded) Credit Card

Note: Pledges $25,000 and greater may be 100% tax deductible. Pledges $15,000 - $24,999 may be 50% tax deductible. Please consult with your tax adviser for more information. Pledges $14,999 or less will be directed to the Alumni Corporation Board of Delta Sigma Phi.
Tax Deductible payments should be made payable to "Delta Sigma Phi Foundation" and include "Alpha Gamma Century Campaign" in the memo
. Payments made directly to the Alpha Gamma Alumni Corporation Board should be made payable to "Delta Sigma Phi."
If you have any questions please contact our Campaign Account Manager, Brent Yancy at (770) 903-3987 or byancy@
elevateims.com

Electronic Signature:
First and Last Initials AND your Birthdate (i.e. EH0913)